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  1. Our review shows that leadership in nursing home care is a complex and multidimensional undertaking, influenced by multiple internal and external factors. On the one hand, there is a tendency toward relationship-oriented and transformational leadership in particular.

  2. The purpose of this study is to describe how RNs in leadership roles in institutionalized long-term care settings delegate care, including their strategies and processes for delegating care, and their perceptions of barriers to effective delegation and potential benefits of delegation.

    • The Study
    • Findings
    • Future Directions
    • Authors

    ...improving practice models of nurse delegation in long-term care requires knowledge of how RNs in leadership positions delegate. This section will describe the study design and the study sample. The data collection process and data analysis will also be presented. Study Design and Sample The study design was a descriptive, qualitative study of de...

    This section will present the findings related to each of the three research questions. These questions addressed strategies and processes to delegate care, barriers to effective delegation of care, and potential benefits to delegation of care. Strategiesand Processes Used to Delegate Care In the “Follow the Job Description” approach, RNs felt that...

    The long-term care RN leaders participating in our study showed two very different approaches to delegation, with mixed effects on how they viewed outcomes of care. One subset of RNs in our study described their approach to delegation as considering regulations guiding scope of practice and delegation, and then doing their best to match processes o...

    Kirsten N. Corazzini, PhD E-mail: kirsten.corazzini@duke.edu Dr. Corazzini is Assistant Professor, Duke School of Nursing (Durham, NC) and Senior Fellow, Duke Center for the Study of Aging and Human Development. She received a doctorate in Social Gerontology from the University of Massachusetts, Boston. The focus of Dr. Corazzini’s research is nurs...

    • N (%)
    • 5 (15.2)
    • 4 (12.1)
    • 12 (36.4)
  3. Oct 18, 2014 · When someone is receiving personal care support in their home, certain acts require a registered nurse or other health professional, such as a physical therapist, to perform them, even though it might be inconvenient or cost-prohibitive to pay a nurse to do them.

  4. Delegation is allowing a delegatee to perform a specific nursing activity, skill, or procedure that is beyond the delegatee’s tradi- tional role and not routinely performed.

  5. Dec 6, 2021 · Under certain circumstances, controlled acts can be delegated to others to ensure the client receives health care when required. If a senior has personal care support in their home, certain acts may require a registered nurse or other health care professional.

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  7. DELEGATION & SUPERVISION INTRODUCTION. Learning Objectives. • Identify typical scope of practice of the RN, LPN/VN, and assistive personnel roles. • Identify tasks that can and cannot be delegated to members of the nursing team. • Describe the five rights of effective delegation.

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